Progress update #7

Welcome to the seventh instalment of my regular update series where I review what does and doesn't work on the journey to type 2 diabetes remission.

Progress update #7
This week I've managed to injure myself by walking in the wrong boots, ironically to look at some nice trainers... and I've discovered some no-carb noodles.

Million step challenge

Just as my blister problems had mostly cleared up, I've been struggling with peroneal tendonitis (swollen tendons on the outside of the foot). It was very rainy on Tuesday when I'd planned to walk into Bolton to visit the Reebok and Norman Walsh exhibition at Bolton Museum, so I went in some waterproof walking boots that I haven't used on a long walk before. Walking 5.5 miles in them left me limping the next day, and it took a couple of days of rest to clear it up. I'm now ready and itching to get back to my 14,000 steps per day. Weight training at the gym has been a great way to exercise while resting my feet. I've managed to do some cardio on the exercise bike which has counted towards my step count.

Some helpful physiotherapy exercises for recovering from tendonitis.

Despite the setbacks, I've still managed to clock up 377,000 steps before the end of July which is the third-way point so I'm still ahead of schedule. I'd like to get to 450,000 by the end of next week to give me a good chance of making the half-way mark early.

Blood tests

I got my Thriva blood test results back and I'm happy that I'm in safe ranges for cholesterol and other things. Triglyceride/HDL ratio is considered to be the best biomarker for cardiovascular disease (not LDL or total cholesterol levels). My triglyceride/HDL ratio is 0.9 which is good (less than 1 is considered optimal). This biomarker also indicates levels of insulin resistance (over 3 suggests insulin resistance).

My LDL cholesterol level is on the low end of what is considered high at 3.1 mmol/L (3.0-4.9 is considered high). Many people live to very old age with high LDL cholesterol levels so I'm not too worried about this level. I've also got a high Apolipoprotein B at 1.11 g/L (1-1.3 is considered high) so I need to investigate what this means.

The good news is that I'm confident I don't have a cholesterol problem that requires medication. I'm hoping to do a more in-depth video on cholesterol shortly.

Another good test result was hs-CRP which indicates levels of inflammation are in the satisfactory range at 0.81 mg/L (below 1.0 is considered low risk). Around 0.3 mg/L is considered more optimal so I'm hoping this will improve but this shows that I'm heading in the right direction.

BDNF boosting strategy

Next week, I'm going to focus on boosting BDNF. There are a lot of small changes to try to remember. I'm hoping this will help me break the 5.7 mmol/L 7-day average plateau.

New noodles

I found some super-low-carb noodles that I'd never heard about before. Shirataki noodles are made from konjac root (no, not the brandy - it's Southeast Asian elephant yam root). I made the first ramen I've had in a long time and they were so good I had them with a chicken curry as well.

Pork ramen with chicken and beef broth + non-spiking shirataki noodles.

Blood glucose is on target but could do with some improvement

Another week in the normal range (3.9–7.8 mmol/L). I’ve got my 7-day average back down to 5.7 mmol/L and then my two day break from walking threw me back up to 6.0 mmol/L which is frustrating.

My average daily net carbs has gone up from 62g to 72 this week - a contributor to this has been too much wine. I need to focus on trying to keep this under 60g and ideally around 50g per day.

Still mostly in range this week but there is a little more light blue area above the 6 mmol/L line than I'd like. Again, the peak between 9am and 12pm is due to morning exercise, which is good as it indicates glucose reserves are being burned off.
I'm walking a million steps this summer to help Diabetes UK fund research and support for people living with diabetes in the UK. If you're able to make a donation, I'll be made up and have one more reason not to back out 😅

I struggled to find where to buy non-homogenised milk locally and eventually found The Modern Milkman. Their organic whole milk in my area is non-homogenised so I've been getting milk and eggs from them for two yeas now. Use this link to get 50% off your first two weeks and they'll give me 50% off my next delivery as well. Cheers!